Sleep and circadian rhythm in perinatal women
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Gestational age between 16 and 20 weeks; 2.Singleton pregnancy; 3.Age >= 18 years; 4. Plans to receive regular prenatal care and deliver at the study hospital; 5.Presence of at least one sleep health dimension problem according to the RU-SATED scale; 6. Has a WeChat account and is able to use a WeChat Mini Program to participate in the study; 7.Able to understand and provide informed consent to participate; 8.Has not received any non-pharmacological treatment for insomnia (e.g., massage, acupuncture, or psychological intervention) in the past six months and is not on a waiting list for other interventions.
Exclusion criteria
Exclusion criteria: 1.Presence of severe physical or psychiatric disorders before or during pregnancy (e.g., schizophrenia, bipolar disorder); 2.Current use of prescription or over-the-counter medications that may affect sleep (e.g., benzodiazepines, non-benzodiazepine hypnotics, melatonin); 3.History or current diagnosis of organic sleep disorders (e.g., obstructive sleep apnea, narcolepsy, restless legs syndrome); 4.Presence of severe pregnancy complications or comorbidities requiring hospitalization for pregnancy maintenance; 5.Currently engaged in shift or night work; 6.Suspected severe depressive symptoms (PHQ-9 >=20); 7. Suicidal ideation, indicated by a score >= 1 on item 9 of the PHQ-9; 8.Substance abuse or smoking during pregnancy; 9.Current use of medications known to affect melatonin or cortisol secretion; 10.History of transmeridian travel within the past three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sleep and circadian rhythm; | — |
Secondary
| Measure | Time frame |
|---|---|
| Psychological distress;Infant development; | — |
Countries
China
Contacts
School of Nursing and Rehabilitation, Shandong University